sport accident insurance program (saip) - Canadian Freestyle Ski ...

OUT OF COUNTRY MEDICAL
Scope v of Coverage:
Full 24 hour, while travelling on a Tour outside the
province of residence.
With respect to Class 1
“Tour” means travel, undertaken by the eligible person,
which commences on the date of departure from the
eligible person’s province of residence and continues
until the return date to his/her province of residence,
subject to a maximum duration of 60 consecutive days.
Number of Trips are unlimited.
With respect to Class 2B
“Tour” means travel, undertaken by the eligible person,
which commences on the date of departure from the
eligible person’s province of residence and continues
until the return date to his province of residence, subject
to a maximum duration of 25 days.
*Additional days of coverage can be purchased by contacting CFSA or
CSF.
COVERAGE MAXIMUM PAYABLE
Class 1 Class 2B only
Medical Reimbursement $250,000 $250,000
Expenses
Repatriation $25,000 $25,000
Evacuation Benefit – Incl. $50,000 $50,000
Emergency Air Transport
Accidental Dental $2,000 $2,000
Family Transportation & $10,000 $10,000
Accommodation Benefit
Trip Cancellation (as result $1,000 N/A
of an accident)
Days Out of Country* 60 days 25 days
*Extension available for Please contact the Canadian
Days out of country Freestyle Association or
Canadian Snowboard
Federation office to arrange
DATE: JULY 1, 2011
Claims Information
New Sport Accident Insurance Program claims are to
be reported directly to International Programs Group
(IPG - an SCM Company) within thirty (30) days after
the date of the accident causing such injury, as
follows:
Senior Adjuster:
Carolyn Duncan
Telephone: 416.956.4408
Toll Free: 1.888.294.4726
Fax: 416.360.7335
E-Mail: Carolyn.duncan@scm.ca
OR jbclaims@scm.ca
In the event of a medical emergency which may
require treatment, hospitalization or emergency
repatriation, contact the appropriate Specialty
Assistance Services Central Centre immediately as
follows:
Specialty Assistance:
24 Hour Medical Assistance Service
For assistance Worldwide contact:
London, UK: T: +011 -44- 20- 7902- 7405 OR
T: +011 -44- 20- 7939- 9645
F: +011 – 44- 20- 7928-4748
For assistance in the Americas contact:
Philadelphia, USA T: +1 215 489 3785
F: +1 215 489 2585
For assistance in Africa contact:
Johannesburg, S.A.: T: +27 11 452 7272
F: +27 11 452 4473
For assistance in Asia Pacific contact:
Bangkok, Thailand: T: +662 645 3932
F: +662 645 3732
Administered by:
Jones Brown Inc.
SPORT
ACCIDENT
INSURANCE
PROGRAM
(SAIP)
CANADIAN FREESTYLE SKI
ASSOCIATION
808 Pacific Street
Vancouver, BC V6Z 1C2
www.freestyleski.com
CANADIAN SNOWBOARD
FEDERATION
Suite 301 – 333 Terminal Avenue
Vancouver, BC V6A 4C1
www.canadasnowboard.ca
CANADIAN SNOWSPORTS
ASSOCIATION
Suite 202, 1451 West Broadway
Vancouver, BC V6H 1H6
Tel: (604) 734-6800
Fax: (604) 669-7954
www.canadaskiandsnowboard.net

This summary does not in and of itself provide coverage and it
is subject to the terms and conditions which are set for in the
policy. It is intended to provide basic details of coverage that
are fully described in Master Policy No. JBS-007. In the event
of any discrepancies, the actual policy will prevail.
Eligibility:
SPORT ACCIDENT PROGRAM
All FIS licensed athletes, managers, coaches and officials on
record with the Canadian Freestyle Association (CFSA) and
Canadian Snowboard Federation (CSF).
Class 1 – FIS Licensed National Team Athletes and
Coaches.
Class 2A and B – Other FIS Licensed Athletes, Teams,
Coaches and Officials specifically named by CFSA and
CSF and not insured under Class 1.
Note: Coverage can be also purchased by non FIS licenced member
athletes and coaches.
Scope of Coverage:
*Injury sustained by the Insured Person while and in
consequence of:
Participating in a training program of the sport for which
coverage is indicated in the Schedule, which program is
approved by and under the supervision of proper
authority of the CFSA and CSF of which the insured
person if a member;
Participating in a tour (travel) of the sport for which
coverage is indicated in the Schedule, provided such
Tour is approved by and under the supervision of proper
authority of the CFSA and CSF of which the insured
person is a member;
Participating in a Competition of the sport for which
coverage is indicated in the Schedule, which competition
is approved by and under the supervision of proper
authority of CFSA and CSF of which the insured person
is a member;
Travelling directly to or from such Training Program, Tour or
Competition, under the supervision of the CFSA and CSF of
which the insured person is a member.
Provided the injury results in a loss within 365 days of the date of
the accident.
Coverage Maximum Payable
Class 1 Class 2A & B
Accident Indemnity: $30,000 $25,000
Permanent Disability: $30,000 $25,000
Accident Medical Expenses: $30,000 $20,000
Hospital Semi Private Semi Private
Nurse $5,000 per accident $5,000 per accident
Prescription drugs Up to limit Up to limit
Physiotherapist or Certified Athletic Therapist $40 per treatment maximum $40 per treatment maximum
$1,000 per accident $1,000 per accident
Ambulance $1,000 per accident $1,000 per accident
Hearing aids, crutches, splints casts trusses and braces $750 per policy term $750 per policy term
Rental of wheelchair, iron lung, medical equipment $5,000 per accident $5,000 per accident
Expenses for the services of chiropractor, osteopath, $5,000 per accident $5,000 per accident
chiropodist or podiatrist, massage therapist on the
recommendation of a physician, speech therapist, psychologist
Laboratory tests Included Included
Expenses incurred for x-rays and MRI’s $1,000 per accident $1,000 per accident
Accidental Dental: $3,000 $2,000
Home Alteration and Vehicle Modification Benefit: $10,000 $10,000
Fracture, etc.: Up to $1500 Up to $1500
Emergency Taxi: $50 $50
Rehabilitation: $10,000 $10,000
Tutorial: $3,000 $3,000
Eyeglasses: $200 $200
Special Transportation: $500 $500
Over Use (physiotherapist, chiropractor): Yes Yes
OUT-OF-COUNTRY MEDICAL
Eligibility - Canadian Freestyle Ski Association and Canadian Snowboard Federation members:
Mandatory for all active full-time eligible persons who are covered under a Canadian federal and/or provincial health and
hospitalization insurance plan, classified as follows:
Class 1 – FIS licensed National Team Athletes and Coaches.
Class 2B –Other FIS Licensed Athletes, Teams, Coaches and Officials specifically named by CFSA and CSF and not insured under
Class 1. Class 2A does not qualify.
Note: Coverage can be also purchased by non FIS licenced member athletes and coaches.